CMS Price Transparency Data

Blood antibody screen

Facility: Baptist Beaumont Hospital

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $40
  • Cash Discount Price: $52
  • vs. Medicare Baseline: 0.75x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Baptist Beaumont Hospital is $40. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $52. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.75x the Medicare baseline. Located in 3080 College Street, Beaumont, TX.
Cash / Self-Pay
$52

Average discount available for prompt cash payment at this facility.

Insurance Median
$40

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$53.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $53.24 (100%)
Cash / Self-Pay: $52 (98%)
Insurance Median: $40 (75%)
Cash: $52 (98% of Medicare)
Ins. Median: $40 (75% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $53.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $10 - $29 19%
Ameri-Plus Ppo-All Plans $10 19%
Blue Cross Blue Shield $10 - $146 19%
Cigna $10 - $172 19%
Superior Health Plan Mcr Adv $10 19%
Texan Plus-All Plans $10 19%
Superior Health Plan Comm - All Other Plans $11 21%
Texas Exchange Plans - All Plans $11 21%
Correctcare - All Plans $15 28%
Naphcare Inc - All Plans $15 28%
Texas School Health Benefits - All Plans $15 28%
Preferred Care Services - All Plans $17 32%
Brookshire Brothers - All Plans $22 41%
Americhoice - All Plans $40 75%
Amerigroup - All Plans $40 75%
Community Health Choice - All Plans $40 75%
Medicaid / KanCare $40 - $52 75%
Tchp Chips - All Plans $40 75%
Imagine Healthcare (Smartcare) - All Plans $41 77%
Beacon Health - All Plans $46 86%
Signature Health - All Plans $124 233%
Central Healthcare Services - All Plans $198 372%
Humana $198 - $240 372%
Mhhnp-All Plans $198 372%
Pponext - All Plans $258 485%
Multiplan - All Plans $278 522%
Phcs - All Plans $278 522%
First Health - All Plans $298 560%
Healthsmart - All Plans $298 560%
Managed Healthcare Inc - All Plans $298 560%
Blue Bell - All Plans $318 597%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3080 College Street, Beaumont, TX 77701
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals